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Status Report 6-Part Form, Carbonless

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1 – 4$388.70
5 – 9$375.60
10 – 14$362.90
15 +$349.80
SKU: 1285
This popular Status Report is a 6-part carbonless snap out-style set that alerts all departments to changes affecting the status of a resident.

These changes include admission, discharge, transfer, death, room transfer, or diet change. Copies of the form are sent to the Administration, Dietary, Social Services, Activities, Laundry, and Housekeeping departments.

Download a sample today!
Size:8 1/2" x 5 3/8" (detached),
Paper:  White original, color-coded copies         
Print:Black ink
Packaging:250 per box

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